Abstract
Although enlarged prostatic utricle is usually seen in patients with hypospadias and disorders of sex development, double utricle has not been reported without unilateral renal dysplasia and Wolffian duct anomaly. We present an unusual case of antenatally detected large pelvic cyst, which turned out to be one of double prostatic utricles in a neonate with ambiguous genitalia. The possibility of enlarged utricle should be considered in the differential diagnosis of antenatally detected pelvic cysts in neonates with ambiguous genitalia.
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Gilsanz V (1981) Duplicated Müllerian duct remnants: unilateral occlusion and ipsilateral renal agenesis in a male. AJR 137:174–175
McDermott V, Orr JD, Wild SR (1993) Duplicated müllerian duct remnants associated with unilateral renal agenesis. Abdom Imaging 18:193–195. doi:10.1007/BF00198062
Johal NS, Kraklau D, Deniz K, Mushtaq I (2005) An unusual case of a prenatally detected large Müllerian duct remnant. Pediatr Surg Int 21:764–766. doi:10.1007/s00383-005-1497-3
le Vaillant C, Podevin G, Quere MP, Talmant C, Heloury Y, Boog G (2008) Prenatal diagnosis of enlarged prostatic utricle by ultrasonography and magnetic resonance imaging. Ultrasound Obstet Gynecol 31:588–589. doi:10.1002/uog.5340
Varlet F, Coupris L, Laumonier F, Duverne C (1992) Congenital dilatation of the prostatic utricle. Embryologic review, diagnosis and treatment. Apropos of 2 pseudo-tumoral cases, without hypospadias. Ann Urol (Paris) 26:39–48
Devine CJ Jr, Gonzalez-Serva L, Stecker JF Jr, Devine PC, Horton CE (1980) Utricular configuration in hypospadias and intersex. J Urol 123:407–411
Ciftçi AO, Senocak ME, Büyükpamukçu N, Hiçsönmez A (1999) Abnormal prostatic utricle configuration in hypospadias and intersex patients. Eur J Pediatr Surg 9:167–172. doi:10.1055/s-2008-1072235
Ikoma F, Shima H, Yabumoto H (1985) Classification of enlarged prostatic utricle in patients with hypospadias. Br J Urol 57:334–337. doi:10.1111/j.1464-410X.1985.tb06356.x
Shapiro E, Huang H, McFadden DE, Masch RJ, Ng E, Lepor L, Wu XR (2004) The prostatic utricle is not a Müllerian duct remnant: immunohistochemical evidence for a distinct urogenital sinus origin. J Urol 172:1753–1756
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Matsumoto, F., Shimada, K., Matsui, F. et al. Antenatally detected double prostatic utricle found in a neonate with ambiguous genitalia. Pediatr Surg Int 25, 297–299 (2009). https://doi.org/10.1007/s00383-009-2323-0
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DOI: https://doi.org/10.1007/s00383-009-2323-0